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Incidence of high blood pressure in children — Effects of physical activity and sedentary behaviors: The IDEFICS study

High blood pressure, lifestyle and children
Published:November 26, 2014DOI:https://doi.org/10.1016/j.ijcard.2014.11.175

      Highlights

      • The high blood pressure (HBP) has higher prevalence in children.
      • The incidences founded of Pre-HBP and HBP were: 121/1000 and 110/1000, respectively.
      • The sedentary behaviors during childhood increase the risk of developing HBP.

      Abstract

      Background/objectives

      High blood pressure (HBP) is one of the most important risk factors for cardiovascular diseases and it has a high prevalence in pediatric populations. However, the determinants of the incidence of Pre-HBP and HBP in children are not well known. i) To describe the incidence of HBP in European children; and ii) to evaluate the effect of physical activity (PA) and sedentary behavior (SB) on the Pre-HBP and HBP.

      Methods

      The IDEFICS cohort study. A total of 16,228 children 2–9 years at baseline were recruited by complex sampling population-based survey in eight European countries. At baseline (T0), 5221 children were selected for accelerometer measurements; 5061 children were re-examined 2 years later (T1). We estimated the incidence of Pre-HBP and HBP and evaluate the effect of PA and SB on the Pre-HBP and HBP, by computing relative risks and the corresponding 95% confidence intervals (RR, 95% CI).

      Results

      Incidences of Pre-HBP and HBP per year were: 121/1000 children and 110/1000 children, respectively. We found that children maintaining SB > 2 h/d during the two year follow-up showed a RR of having HBP of 1.28 (1.03–1.60). Children in T1 not performing the recommended amount of PA (<60 min/d) have a RR of HBP of 1.53 (1.12 to 2.09). We found no association between pre-HBP and the behaviors.

      Conclusion

      The incidence of pre-HBP and HBP is high in European children. Maintaining sedentary behaviors during childhood increases the risk of developing HBP after two years of follow-up.

      Keywords

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      References

        • Beaglehole R.
        • Horton R.
        Chronic diseases: global action must match global evidence.
        Lancet. 2010; 376: 1619-1621
        • Danaei G.
        • Finucane M.M.
        • Lin J.K.
        • Singh G.M.
        • Paciorek C.J.
        • Cowan M.J.
        • et al.
        National, regional, and global trends in systolic blood pressure since 1980: systematic analysis of health examination surveys and epidemiological studies with 786 country-years and 5 · 4 million participants.
        Lancet. 2011; 377: 568-577
        • Lauer R.M.
        • Clarke W.R.
        Childhood risk factors for high adult blood pressure: the Muscatine Study.
        Pediatrics. 1989; 84: 633-641
        • Christofaro D.G.
        • Ritti-Dias R.M.
        • Chiolero A.
        • Fernandes R.A.
        • Casonatto J.
        • de Oliveira A.R.
        Physical activity is inversely associated with high blood pressure independently of overweight in Brazilian adolescents.
        Scand. J. Med. Sci. Sports. 2013; 23: 317-322
        • Fröberg A.
        • Raustorp A.
        Objectively measured sedentary behaviour and cardio-metabolic risk in youth: a review of evidence.
        Eur. J. Pediatr. 2014; 173: 845-860
        • de Moraes A.C.
        • Carvalho H.B.
        • Rey-López J.P.
        • Gracia-Marco L.
        • Beghin L.
        • Kafatos A.
        • et al.
        Independent and combined effects of physical activity and sedentary behavior on blood pressure in adolescents: gender differences in two cross-sectional studies.
        PLoS One. 2013; 8: e62006
        • Bel-Serrat S.
        • Mouratidou T.
        • Santaliestra-Pasías A.M.
        • Iacoviello L.
        • Kourides Y.A.
        • Marild S.
        • et al.
        Clustering of multiple lifestyle behaviours and its association to cardiovascular risk factors in children: the IDEFICS study.
        Eur. J. Clin. Nutr. 2013; 67: 848-854
        • Edwardson C.
        • Gorely T.
        Parental influences on different types and intensities of physical activity in youth: a systematic review.
        Psychol. Sport Exerc. 2010; 11: 522-535
        • Seabra A.
        • Mendonça D.
        • Thomis M.
        • Anjos L.
        • Maia J.
        Biological and socio-cultural determinants of physical activity in adolescents.
        Cad. Saude Publica. 2008; 24: 721-736
        • Rose G.
        Sick individuals and sick populations.
        Int. J. Epidemiol. 1985; 14: 32-38
        • Dello Russo M.
        • Ahrens W.
        • De Vriendt T.
        • Marild S.
        • Molnar D.
        • Moreno L.A.
        • et al.
        Gestational weight gain and adiposity, fat distribution, metabolic profile, and blood pressure in offspring: the IDEFICS project.
        Int. J. Obes. (Lond). 2013; 37: 914-919
        • Ahrens W.
        • Bammann K.
        • Siani A.
        • Buchecker K.
        • De Henauw S.
        • Iacoviello L.
        • et al.
        The IDEFICS cohort: design, characteristics and participation in the baseline survey.
        Int. J. Obes. (Lond). 2011; 35: S3-S15
        • Suling M.
        • Hebestreit A.
        • Peplies J.
        • Bammann K.
        • Nappo A.
        • Eiben G.
        • et al.
        Design and results of the pretest of the IDEFICS study.
        Int. J. Obes. (Lond). 2011; 35: S30-S44
        • Sorof J.
        • Daniels S.
        Obesity hypertension in children: a problem of epidemic proportions.
        Hypertension. 2002; 40: 441-447
        • NHBPEP. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents
        The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents.
        Pediatrics. 2004; 114: 555-576
        • Evenson K.R.
        • Catellier D.J.
        • Gill K.
        • Ondrak K.S.
        • McMurray R.G.
        Calibration of two objective measures of physical activity for children.
        J. Sports Sci. 2008; 26: 1557-1565
        • U.S. Department of Health and Human Services
        Key Guidelines for Children and Adolescents.
        (Accessed September 2011 ed:)
        • Verbestel V.
        • De Henauw S.
        • Bammann K.
        • Barba G.
        • Hadjigeorgiou C.
        • Eiben G.
        • et al.
        Are context-specific measures of parental-reported physical activity and sedentary behaviour associated with accelerometer data in 2–9-year-old European children?.
        Public Health Nutr. 2014; 1–9
        • Education AAoPCoP
        American Academy of Pediatrics: children, adolescents, and television.
        Pediatrics. 2001; 107: 423-426
        • UNESCO. United Nations Educational Scientific and Cultural Organization
        International Standard Classification of Education (ISCED).
        in: UIS 2012: 1-88
        • Nagy E.
        • Vicente-Rodriguez G.
        • Manios Y.
        • Béghin L.
        • Iliescu C.
        • Censi L.
        • et al.
        Harmonization process and reliability assessment of anthropometric measurements in a multicenter study in adolescents.
        Int. J. Obes. (Lond). 2008; 32: S58-S65
        • Diez Roux A.V.
        Next steps in understanding the multilevel determinants of health.
        J. Epidemiol. Community Health. 2008; 62: 957-959
        • Snijders T.
        • Bosker R.
        Multilevel Analysis. An Introduction to Basic and Advanced Multilevel Modelling.
        SAGE Publication, 1999
        • Victora C.
        • Huttly S.
        • Fuchs S.
        • Olinto M.
        The role of conceptual frameworks in epidemiological analysis: a hierarchical approach.
        Int. J. Epidemiol. 1997; 26: 224-227
        • Go A.S.
        • Mozaffarian D.
        • Roger V.L.
        • Benjamin E.J.
        • Berry J.D.
        • Borden W.B.
        • et al.
        Executive summary: heart disease and stroke statistics—2013 update: a report from the American Heart Association.
        Circulation. 2013; 127: 143-152
        • HILL A.B.
        The environment and disease: association or causation?.
        Proc. R. Soc. Med. 1965; 58: 295-300
        • Ekelund U.
        • Brage S.
        • Froberg K.
        • Harro M.
        • Anderssen S.
        • Sardinha L.
        • et al.
        TV viewing and physical activity are independently associated with metabolic risk in children: the European Youth Heart Study.
        PLoS Med. 2006; 3: 2449-2457
        • Lazarou C.
        • Panagiotakos D.B.
        • Matalas A.L.
        Lifestyle factors are determinants of children's blood pressure levels: the CYKIDS study.
        J. Hum. Hypertens. 2009; 23: 456-463
        • Zago A.S.
        • Zanesco A.
        Nitric oxide, cardiovascular disease and physical exercise.
        Arq. Bras. Cardiol. 2006; 87: e264-e270
        • Kingwell B.A.
        Nitric oxide-mediated metabolic regulation during exercise: effects of training in health and cardiovascular disease.
        FASEB J. 2000; 14: 1685-1696
        • Pedersen B.K.
        • Febbraio M.A.
        Muscles, exercise and obesity: skeletal muscle as a secretory organ.
        Nat. Rev. Endocrinol. 2012; 8: 457-465
        • Gaya A.R.
        • Silva P.
        • Martins C.
        • Gaya A.
        • Ribeiro J.C.
        • Mota J.
        Association of leisure time physical activity and sports competition activities with high blood pressure levels: study carried out in a sample of Portuguese children and adolescents.
        Child Care Health Dev. 2011; 37: 329-334
        • Chaput J.P.
        • Saunders T.J.
        • Mathieu M.
        • Henderson M.
        • Tremblay M.S.
        • O'Loughlin J.
        • et al.
        Combined associations between moderate to vigorous physical activity and sedentary behaviour with cardiometabolic risk factors in children.
        Appl. Physiol. Nutr. Metab. 2013; 38: 477-483
        • Cleland V.
        • Dwyer T.
        • Venn A.
        Which domains of childhood physical activity predict physical activity in adulthood? A 20-year prospective tracking study.
        Br. J. Sports Med. 2012; 46: 595-602
        • van der Ploeg H.P.
        • Chey T.
        • Korda R.J.
        • Banks E.
        • Bauman A.
        Sitting time and all-cause mortality risk in 222 497 Australian adults.
        Arch. Intern. Med. 2012; 172: 494-500
        • Wijndaele K.
        • Brage S.
        • Besson H.
        • Khaw K.T.
        • Sharp S.J.
        • Luben R.
        • et al.
        Television viewing and incident cardiovascular disease: prospective associations and mediation analysis in the EPIC Norfolk Study.
        PLoS One. 2011; 6: e20058